CSD Science Fair Judge Registration Form

Thank you for registering to be a judge for our district science fair. Without your support, a district fair wouldn't be a possibility!

* Required

First Name
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Last Name
*

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Date of Birth
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(format mm/dd/yyyy)

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Phone Number
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format 999-999-9999

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Email Address
*

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Day(s) you'd be willing to help with judging
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February 19, 2013 from 3:30-7:00pm

February 21, 2013 from 3:30-7:00 pm

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Areas of expertise
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List which area(s) you'd feel most comfortable judging

Behavioral & Social Sciences

Biology & Biochemistry

Chemistry

Computer Science

Earth Science

Energy & Transportation

Engineering

Environmental Sciences

Medicine & Health Sciences

Mathematical Science

Microbiology

Physics & Astronomy

Plant Sciences

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Agreement:
*

By submitting this Volunteer Application I certify that all the information I have provided is correct and complete to the best of my knowledge. I hereby authorize Canyons School District to conduct an investigation of my background, including a criminal background check in accordance with Utah State Law, check of Sex Offender registry, and authorize release of information in connection with former employers and supervisors. I further agree to indemnify and hold harmless these former employers and supervisors for any action initiated in conjunction with their release of this information.